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25 lines (24 loc) · 864 Bytes
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<html>
<head>
<title> HTML Form</title>
</head>
<body>
<h3>Order Lunch</h3>
<form method='POST' action='http://localhost:1234/'>
First Name: <input type='text' name='firstname'></input>
<br/>
Last Name: <input type='text' name='lastname'></input>
<br/>
Password: <input type='password' name='pwd'></input>
<br/>
<input type='radio' name='sex' value='male'>Male</input>
<input type='radio' name='sex' value='female'>Female</input>
<br/>
<input type='checkbox' name='lunch' value='burger'>Burger</input>
<input type='checkbox' name='lunch' value='salad'>Salad</input>
<input type='checkbox' name='lunch' value='pizza'>Pizza</input>
<br/><br/>
<input type='submit' value='Place Order'>
</form>
</body>
</html>